Complex Case Manager BSW

at Mercy Health Corporation (Mercyhealth) in Rockford, Illinois, United States

Job Description

Overview

The Complex Case Manager BSW assesses and assists with complex psychosocial needs of patients, by providing specialized services to address problem-solving and coping behaviors in acute care, ED and ambulatory care setting. The BSW, in collaboration with Patient Navigators and the multidisciplinary team, coordinates services and interventions to promote appropriate utilization of resources and to contribute to improved patient satisfaction and outcomes. The BSW provides complex discharge planning as needed. The BSW is a strong patient advocate and acts as a resource to other department staff as well as other hospital and clinic departments in meeting the needs of the complex patient. The BSW intervenes with at-risk patients that require the highest level of continuing care services while ensuring compliance with regulatory standards of care at the organizational, state and federal level.
Responsibilities

ESSENTIAL DUTIES AND RESPONSIBILITIES
Provides psychosocial assessment, intervention and facilitates referrals to community resources to patients in a variety of care settings (ambulatory, inpatient, ED).

Formulates, develops and implements psychosocial treatment plan utilizing appropriate social work interventions that may include crisis intervention, emotional support as well as grief and bereavement services.

Promotes coping skills and healthy lifestyle changes.

Assesses patients, for transitional planning needs, including any barriers to discharge, family and social supports, capacity for self-care, adaptive abilities and financial resources.

Develops individualized, patient-focused plan for meeting continuing care needs.

Provides education and presents resource options available to patients and families.

Reviews and assists patients to complete advance directives.

Organizes, conducts and participates in patient care conferences, to promote understanding of medical recommendations, compliance with the medical care regimen, assist families to understand comfort measures and facilitate family decision-making.

Provides education, support and counseling to patients/families in regards to issues related to adaptation to the patients' diagnosis/illness/treatment and or life situation.

Communicates effectively with patients, families and the healthcare team, to ensure that the patient's right to self- determination is met.

Maintains detailed knowledge of community resources to effectively address patient needs and help to strengthen patient's network of social support.

Documents plan of care, interventions, patient choices and progress toward goals in a timely and concise manner.

Facilitates crisis intervention services in the hospital/ambulatory setting as determined by scope of practice.

Identifies and reports child and/or elder abuse to local authorities according to law.

Act as a liaison with county officials for patients involved with protective services, aging, developmental disabilities, domestic violence, mental health services and economic support.

Maintains current knowledge and awareness of payer/reimbursement practice and regulations impacting the patient's plan of care.

Negotiates care issues as appropriate (indigent issues and availability of resources).

Promotes customer satisfaction and intervenes at critical moments of service.

Monitors inpatient readmissions for specialized intervention.

Provides follow-up for cases as needed.

Assist with identifying avoidable day information for organizational tracking and trending.

CULTURE OF EXCELLENCE BEHAVIOR EXPECTATIONS
To perform the job successfully, an individual should demonstrate the following behavior expectations:

Quality - Follows policies and procedures; adapts to and manages changes in the environment; Demonstrates accuracy and thoroughness giving attention to details; Looks for ways to improve and promote quality; Applies feedback to improve performance; Manages time and prioritizes effectively to achieve organizational goals.

Service - Responds promptly to requests for service and assistance; Follows the Mercyhealth Critical Moments of service; Meets commitments; Abides by MH confidentiality and security agreement; Shows respect and sensitivity for cultural differences; and effectively communicates information to partners; Thinks system wide regarding processes and functions.

Partnering - Shows commitment to the Mission of Mercyhealth and Culture of Excellence through all words and actions; Exhibits objectivity and openness to other's views; Demonstrates a high level of participation and engagement in day-to-day work; Gives and welcomes feedback; Generates suggestions for improving work: Embraces teamwork, supports and encourages positive change while giving value to individuals.

Cost -... For full info follow application link.

EOE&AA/M/F/Vet/Disabled. Mercy is an equal employment opportunity employer functioning under Affirmative Action Plans.